Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $37.15 / $169.82	Facility		$8.32	$37.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $54.95	Professional		$6.03	$7.59	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $30.20	Facility		$8.71	$18.62	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.55 / $16.60	Professional		$5.25	$9.55	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $64.57	Professional		$5.37	$7.41	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $18.62	Facility		$8.32	$8.32	$18.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.79 / $25.12	Facility		$8.32	$14.79	$25.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.00	Professional		$7.59	$7.59	$10.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.59 / $22.91	Facility		$8.91	$12.59	$22.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $8.32	Professional		$6.31	$7.59	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.00 / $10.00	Facility		$8.32	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.79 / $9.33	Professional		$3.55	$4.79	$9.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $15.14	Professional		$3.80	$3.80	$15.14